Department of Psychiatry, University of California San Diego, La Jolla, CA; Sam and Rose Stein Institute for Research on Aging, University of California San Diego, La Jolla, CA.
Department of Psychiatry, University of California San Diego, La Jolla, CA; Veterans Affairs San Diego Healthcare System, San Diego, CA.
Am J Geriatr Psychiatry. 2018 Feb;26(2):224-234. doi: 10.1016/j.jagp.2017.06.015. Epub 2017 Jun 29.
Because of the rapidly growing older population and increases in longevity, rates of dementia have been rising. Clinical challenges of treating dementia include limited resources and lack of curative therapies. Palliative care approaches improve quality of life and alleviate suffering for dementia patients at the end of life, although implementation may be limited by societal acceptance and feasibility. This review examines the published literature on pain assessments, pain and behavior interventions, tools for advanced care planning, and clinical concerns in dementia patients. Ultimately, modification of the traditional palliative care model may improve outcomes and functioning for dementia patients at all stages of their illness.
由于人口老龄化和寿命延长，痴呆症的发病率一直在上升。治疗痴呆症的临床挑战包括资源有限和缺乏治愈疗法。姑息治疗方法可以提高生命末期痴呆症患者的生活质量并减轻痛苦，尽管实施可能受到社会接受度和可行性的限制。这篇综述考察了关于疼痛评估、疼痛和行为干预、高级护理计划工具以及痴呆症患者临床关注点的已发表文献。最终，对传统姑息治疗模式的改进可能会改善痴呆症患者在疾病各个阶段的预后和功能。
